NPI: 1811037435 · LA VERNE, CA 91750 · General Practice Dentistry · NPI assigned 02/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,285 | $19K |
| 2019 | 1,345 | $27K |
| 2020 | 401 | $5K |
| 2021 | 512 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 381 | 381 | $14K |
| D1110 | Prophylaxis - adult | 123 | 123 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,906 | 639 | $8K |
| D0274 | Bitewings - four radiographic images | 386 | 386 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 143 | 143 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 459 | 459 | $5K |
| D1120 | Prophylaxis - child | 104 | 104 | $3K |
| D5750 | 15 | 15 | $3K | |
| D5751 | 14 | 14 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $144.00 |